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People stand in line to vote in Argentina’s national election. The ruling party (Peronist Party) lost badly, due in part to the government’s perceived mishandling of the swine flu situation, and the Health Minister resigned after the election.

Retail government service delivery offices in the social, medical and law enforcement “safety net” domains will have to remain open, and certain employees will have to remain exposed to citizens while at work.

Keeping offices open will be essential to preserve the integrity of government and to care for its customers.

Can you imagine what will happen if government fails its citizens when they need it the most?

Government cannot afford to implement “perfect” work at home plans in the current financial and political climate.

W@H plans can be successful, if the process does not involve the moving of paper or constant online access to legacy systems; if applied properly; if created with enough advance planning; and if exercised frequently.

Do not rely solely on “actual” totals coming from WHO and CDC. If you see a spike in employee absenteeism, it is probable that the virus has gained a foothold in your workforce.

This can be done without HIPAA violations, and should be performed agency-wide, statewide, and don’t forget field staff.

Encourage an enterprise-wide or agency-wide initiative to monitor for absenteeism which will be critical to track both the spread of the virus (reporting daily roll-ups to DoH) and to determine operational readiness statewide.